The clients arterial blood gas (ABG) are pH 7.33, PaC02 31, HC03 14. Pa02 90. Which sign should the nurse expect to assess with compensation? A.Urine is clear light yellow and has a large volume. B.Urine is dark amber and a scant amount. C.Respiration is slow and shallow. D.Breathing pattern is deep and rapid. The […]
The clients arterial blood gas (ABG) are pH 7.33, PaC02 31, HC03 14. Pa02 90. Read More »
Which of the following processes causes most of the carbon dioxide from the blood to move into the alveoli? A.Diffusion down a concentration gradient B.Conversion of carbon monoxide C.Passive transport using carrier proteins D.Active transport using energy The Correct Answer and Explanation is: The correct answer is A. Diffusion down a concentration gradient. Explanation: The
The nurse is caring for a patient with sepsis. The nurse includes potential complication: septic shock in the plan of care. Why is this nursing diagnosis considered to be a collaborative problem? A.The patient has a history of noncompliance with prescribed therapeutic regimens. B.The patient must be closely monitored in an intensive care unit. C.Prevention
The nurse is caring for a patient with sepsis. Read More »
Assessment of a female client reveals a frothy, yellow-green vaginal discharge.Based on these findings, the nurse would suspect that the client has: A.Trichomoniasis B.Bacterial vaginosis C.Chlamydia D.Gonorrhea The Correct Answer and Explanation is: The correct answer is A. Trichomoniasis. Explanation: Trichomoniasis is a sexually transmitted infection (STI) caused by the protozoan parasite Trichomonas vaginalis. One
Assessment of a female client reveals a frothy, yellow-green vaginal discharge. Read More »
A patient is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.) The correct answer and Explanation is : To calculate the flow rate (mL/hour) for the infusion pump:
A client has an absolute neutrophil count (ANC) of 500/mm³ (0.5 x 10⁹/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?Reference Range:Neutrophils (ANC) [2500 to 5800/mm³ (2.5 to 5.8 x 10⁹/L)] A.Review need for pneumococcal vaccine. B.Implement bleeding precautions. C.Assess vital signs every 4 hours. D.Place the client in protective
A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following? A.Abdominal wall defect B.Celiac disease. C.Intussusception D.Hirschsprung disease The Correct Answer and Explanation is: The correct answer is D. Hirschsprung disease. Hirschsprung disease, also known as congenital aganglionic megacolon, is a condition where nerve cells (ganglion
A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client’s nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN? A.Nonmaleficence B.Veracity C.Fidelity D.Justice The Correct Answer and
An adult patient has orders for an enema. A nurse will A.Give the enema to the patient while he or she sits on the toilet. B.Insert the tip of the enema tube into the rectum pointing towards the umbilicus. C.Have the patient lie on the right side to facilitate the instillation of water. D.Chill the
An adult patient has orders for an enema Read More »
A client states, “I can hear a crunching or grating sound when I kneel and have difficulty getting out of bed in the morning because of pain and stiffness.” Which of the following should the nurse expect as an assessment finding? A.Bone spur B.Crepitation C.Tendonitis D.Fluid in the knee joint The correct answer and Explanation